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OncoMatch/Clinical Trials/NCT03128034

211^At-BC8-B10 Before Donor Stem Cell Transplant in Treating Patients With High-Risk Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia, Myelodysplastic Syndrome, or Mixed-Phenotype Acute Leukemia

Is NCT03128034 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Cyclosporine and Fludarabine Phosphate for acute lymphoblastic leukemia.

Phase 1/2RecruitingFred Hutchinson Cancer CenterNCT03128034Data as of May 2026

Treatment: Cyclosporine · Fludarabine Phosphate · Mycophenolate MofetilThis phase I/II trial studies the side effects and best dose of 211\^astatine(At)-BC8-B10 before donor stem cell transplant in treating patients with high-risk acute myeloid leukemia, acute lymphoblastic leukemia, myelodysplastic syndrome, or mixed-phenotype acute leukemia. Radioactive substances, such as astatine-211, linked to monoclonal antibodies, such as BC8, can bind to cancer cells and give off radiation which may help kill cancer cells and have less of an effect on healthy cells before donor stem cell transplant.

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Acute Myeloid Leukemia

Myelodysplastic Syndrome

Biomarker criteria

Required: PTPRC CD45 expression (CD45-expressing leukemic blasts required if not in remission)

Patients not in remission must have CD45-expressing leukemic blasts. Patients in remission do not require phenotyping and may have leukemia previously documented to be CD45 negative

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: myeloablative allogeneic hematopoietic cell transplant

Lab requirements

Blood counts

circulating blast count < 10,000/mm^3 (control with hydroxyurea or similar agent is allowed)

Kidney function

estimated creatinine clearance > 50 ml/min (Cockcroft-Gault)

Liver function

bilirubin within normal limits, AST and ALT < 2x ULN (except Gilbert's disease: bilirubin up to 3x ULN)

Cardiac function

No symptomatic coronary artery disease; no cardiac medications for anti-arrhythmic or inotropic effects; left ventricular ejection fraction >= 35%

Patients should have a circulating blast count of less than 10,000/mm^3 (control with hydroxyurea or similar agent is allowed); estimated creatinine clearance greater than 50/ml per minute (Cockcroft-Gault); normal hepatic function (bilirubin within normal limits, AST and ALT < 2x ULN, except Gilbert's disease: bilirubin up to 3x ULN); no symptomatic coronary artery disease; left ventricular ejection fraction < 35% [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Fred Hutch/University of Washington Cancer Consortium · Seattle, Washington

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